Bruce W. McCollum

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The Task List Gets Care Done. The Philosophy Behind It Gets Care Right.

It’s easy for direct care work to become a checklist — meals served, medications given, tasks completed. But the field has been shifting for years toward...

A Well-Planned Menu Is a Health Intervention, Not Just a Meal

What a resident eats affects far more than mealtime satisfaction — it shapes chronic disease management, hydration status, and overall health outcomes. Staff who understand nutrition,...

Every New Hire Needs the Same Foundation Before Anything Else

Before a new direct care worker learns your home’s specific routines, they need something more fundamental: a real understanding of who they’re serving and why the...

A Service Change Isn’t Just Paperwork — It’s a Resident’s Right in Motion

When a resident’s services are reduced, denied, or changed, specific protections kick in — and staff don’t need to be legal experts to play a critical...

What Staff Assume About Autism Can Shape a Resident’s Whole Day

Common myths about autism spectrum disorder still shape how some staff interpret behavior, communication, and needs — and those misreadings can lead to support that misses...

When Police Arrive, Your Staff Are the Bridge to a Safe Outcome

When a behavioral incident escalates far enough to require police, the minutes before and during their arrival matter enormously. Staff who can communicate clearly with 911...

Professionalism Isn’t Just What You Do — It’s How You Carry Yourself Doing It

Clinical skill matters in residential care, but so does something harder to put a checklist on: how staff carry themselves in front of residents and families....

That Denial Letter Isn’t the Final Word — If You Know How to Respond

For providers caring for catastrophically injured auto accident survivors, a denied or delayed No-Fault payment isn’t just a paperwork headache — it puts real revenue and...

A Discharge Done Wrong Can Cost More Than the Resident’s Placement

Discharging a resident is one of the most legally sensitive actions a group home can take. Whether it’s driven by medical needs, behavioral concerns, financial issues,...